MEDICARE: MALKISHUANA MALKEIL LACY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	7205TG	TX

General Provider Information

NPI Number	:	1396917514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALKISHUANA MALKEIL LACY O.D.

Provider Business Mailing Address
First Line	:	4444 W JEFFERSON BLVD
Second Line	:	STE 614
City	:	DALLAS
State	:	TX
Zip	:	75211-4600
Country	:	US
Telephone Number	:	214-333-3937
Fax Number	:	214-331-2021

Provider Business Practice Location Address
First Line	:	4444 W JEFFERSON BLVD
Second Line	:	STE 614
City	:	DALLAS
State	:	TX
Zip	:	75211-4600
Country	:	US
Telephone Number	:	214-333-3937
Fax Number	:	214-331-2021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2008
Last Update Date	:	02/12/2026

Similar Medicare Providers

1164717906 — RITESH PATEL PHARMD
Practice Location Address:

4444 W JEFFERSON BLVD , STE 614
DALLAS, TX
75211-4600

Practice Phone: 214-613-1111
Practice Fax: 214-467-7112

1346234093 — DALLAS COUNTY HOSPITAL DISTRICT
Practice Location Address:

4600 SCYENE RD.
DALLAS, TX
75246

Practice Phone: 469-419-1976
Practice Fax: 469-419-6210

1164404398 — ABC BEHAVIORAL HEALTH, L.L.C.
Practice Location Address:

4600 SAMUELL BLVD
DALLAS, TX
75228-6874

Practice Phone: 214-275-8500
Practice Fax: 214-275-6990

1356325344 — DAVID W HERSHEY M.D.
Practice Location Address:

4600 SAMUELL BLVD
DALLAS, TX
75228-6874

Practice Phone: 214-275-8500
Practice Fax: 214-388-3800

1568447944 — DR. TIMOTHY T STOCK M.D.
Practice Location Address:

4600 SAMUELL BLVD
DALLAS, TX
75228-6874

Practice Phone: 214-275-8500
Practice Fax: 214-388-3800

1871566018 — UHS OF TIMBERLAWN INC
Practice Location Address:

4600 SAMUELL BLVD
DALLAS, TX
75228-6827

Practice Phone: 214-381-7181
Practice Fax:

Directions to “ MALKISHUANA MALKEIL LACY O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.